Unexpected Delivery Outside Maternity
Conditions
Keywords
obstetrics, pre-hospital emergencies unannounced delivery outside maternity,, mortality-morbidity, reinforcement midwife in pre-hospital
Brief summary
In France, pre-hospital unexpected birth is a rare situation, but over the last ten years, the investigators have seen an increase in the number of these. For this, the investigators realize an observatory of these deliveries and their care from the call for help and the investigators continue the follow-up and the future of patients and newborns until J7 postpartum.
Detailed description
As a result, the investigators also found a very high variability in the number of deliveries per month for the EMS 34 and the SSSM of the SDIS 34, which can reach up to 11 deliveries per month (May 2014 example). Formalized expert recommendations were published in 2010 by SFAR, which then led to the establishment of a national observatory for IEA at the end of 2011, in which the investigators have been participating for 4 years. Currently the national database lists 2000 unannounced deliveries including 230 in the Hérault. This observational study allows us to evaluate the management of these patients and newborns, the risks and needs of pre-hospital teams, including the need for reinforcement and expertise of midwives. The investigators can also assess mortality and morbidity, as well as the extension of hospital stays beyond J7
Interventions
None listed
Sponsors
SDIS34 - MONTPELLIER
SAMU CHU Montpellier
University Hospital, Montpellier
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* Unexpected delivery outside maternity, presence of a medical team during the care
Exclusion criteria
* Absence of medicalization
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of unexpected hospital deliveries (AIE) | DAY 0 TO DAY 7 TO DELIVRERY | Estimate the impact of non-maternal AIE by the SMUR and the SSM in the department of Héraul, and compare it to the national overall activity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Method of taking care of unannounced extra hospital deliveries | DAY 0 TO DAY 7 POST DELIVRERY | Method of taking care of unannounced extra hospital deliveries |
| Difficulties during an unexpected delivery outside maternity | DAY 0 TO DAY 7 POST DELIVRERY | Identify the difficulties during an unexpected delivery outside maternity |
| Risks during an unexpected delivery outside maternity | DAY 0 TO DAY 7 POST DELIVRERY | Identify the risks during an unexpected delivery outside maternity |
| Possible immediate complications during an unexpected delivery outside maternity | DAY 0 TO DAY 7 POST DELIVRERY | Identify the possible immediate complications during an unexpected delivery outside maternity |
Countries
France
Contacts
Primary ContactChristelle GRAF, wise woman
Outcome results
None listed